Pedro Miguel Fernandez

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11000172 Issued in FL

Practice address

11790 SW 18TH St Apt 108
Miami, FL 33175-1646

Phone

(786) 614-9181

NPI assigned

Jan 18, 2019

Last updated

Jan 18, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Kendall South Medical Center IncGroup PAC ID 1557395241, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kendall South Medical Center Inc

  • Clinic/Center
  • Miami, FL
  • NPI 1043242456
  Medicare reassignment Care Compare group
• First Choice Medical Center of Miami LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Virginia Gardens, FL
  • NPI 1902370760
  Medicare reassignment
• A&B Clinic Medical Center

  • Family Medicine Physician
  • Miami, FL
  • NPI 1659005858
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1225502586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11790 SW 18TH ST APT 108",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331751646",
            "telephone_number": "786-614-9181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11790 SW 18TH ST APT 108",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331751646",
            "telephone_number": "786-614-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "PEDRO",
        "middle_name": "MIGUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-18",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11000172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Osiris Fernandez
• Osvaldo Fernandez
• Patricia Candelaria Fernandez
• Patricia Lia Fernandez
• Pedro Fernandez, MD
• Piedad Cecilia Fernandez
• Rachel Fernandez
• Rafael J Fernandez Jr., MD FAAOS FACS
• Rami Alejandro Fernandez
• Raquel Fernandez, PA

• Family Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.